WALTER WAYNE CANNEFAX

LAKELAND, FL
NPI1467844555
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2015-02-26
Last Update Date2020-03-18
Business Address
WALTER WAYNE CANNEFAX
600 EL PASEO
LAKELAND, FL 33805-4521
Phone number: 863-519-0575
Mailing Address
WALTER WAYNE CANNEFAX
PO BOX 1559
BARTOW, FL 33831-1559
Phone number:
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